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- Managing dyspepsia costs the NHS around pounds 1.1 billion each year.
- There is currently inadequate evidence to guide whether full-dose treatment with a proton pump inhibitor for one month or H pylori 'test and treat' should be offered first.
- There is currently plenty of debate regarding which is the best investigation to diagnose H pylori.
What is the evidence?
- In one study, 500 patients with simple dyspepsia were randomised to testing for H pylori, followed by eradication, if positive, or prompt endoscopy.
Patients in both groups recorded the same number of days with and without dyspepsia …